hip
| Anatomically, the hip is a joint rather than a region. When we
speak of someone having "broad hips" we really mean the hip bones and their
covering of muscles, fat and skin. The hip is a synovial joint between the
head of the femur and the acetabulum on the side of the hip bone; structurally
it is a "ball-and-socket" joint. |
|
The hip is normally an extremely stable joint, even though it is capable
of a wide range of movement.
Stability is conferred by:
-
The excellent bony fit between the round head of the femur (approximately
2/3 of a sphere) and the deep acetabulum. The acetabulum is made still deeper
and more efficient by a rim of fibrocartilage - the labrum - which runs around
the circumference.
- The capsule. This forms a strong fibrous sleeve around the joint. It
is attached around the margins of the acetabulum and to the neck of the femur
(posteriorly) and the intertrochanteric line of the femur (anteriorly). It
has specialised thickenings (the ilio-, ischio- and pubofemoral ligaments)
which are arranged in a spiral and which, when tight, help to secure the
head of the femur in the acetabulum. Some have more particular roles, e.g.
the iliofemoral ligament helps to resist hyperextension at the joint i.e.
the trunk falling backwards on the femoral heads.
- The surrounding muscle mass, which is thick and powerful
The hip is capable of a series of pairs of movements. These include :-
- flexion (the limb is moved forwards and upwards) and extension (the
limb is moved backwards and downwards)
- abduction (the limb is moved outwards and upwards) and adduction (the
limb is moved inwards and downwards)
- medial rotation (the whole limb is twisted so that the big toe faces
inwards towards the mid-line) and lateral rotation (it is twisted so that
the big toe faces outwards away from the mid-line).
These movements, and the muscles which produce them, are discussed in
detail in the HIP TUTORIAL.
Related Tutorial.- The hip
joint